Individual
MELINDA MARIE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
80 HIGHWAY 2227, SOMERSET, KY 42503-1562
(606) 485-4003
Mailing address
4114 W HIGHWAY 80, SOMERSET, KY 42503-3761
(606) 872-8929
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1201032
KY
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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